Individual
STEPHEN MARTIN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-3800
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1333
AZ
152W00000X
Optometrist
Primary
2368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021010
KAISER COMMERCIAL NUMBER
CO
01
—
1333
STATE LICENSE
AZ
05
—
90476522
—
CO
Enumeration date
06/26/2006
Last updated
05/20/2021
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